Journal of medical case reports · 2026
A presentation of spinal epidural abscess in a seven-year-old VACTERL patient: a case report.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kebbeh Sarah, Masoud Sana, Alakkash Mary, Abdullah Manar
Аннотация
BACKGROUND: Spinal epidural abscess is a rare but potentially life-threatening infection of the central nervous system. VACTERL association is a rare congenital condition characterized by vertebral, anal, cardiac, tracheoesophageal, renal, and limb anomalies.
CASE PRESENTATION: We report a 7-year-old Arab male with VACTERL association presenting with back pain, fever, and gait difficulty. Laboratory studies showed leukocytosis (27 × 10⁹/L) and anemia (Hb 9 g/dL). MRI revealed multiloculated cystic lesions with thick walls and mixed fluid-gas content extending from T4 to L5, forming an extensive epidural abscess with paraspinal extension and vertebral erosions. The patient was treated with intravenous vancomycin, metronidazole, and imipenem, followed by surgical drainage and local vancomycin irrigation. Clinical condition improved markedly, and he was discharged after two months in good health.
CONCLUSION: This case highlights the diagnostic challenges of SEA in children with complex congenital anomalies and emphasizes the importance of early recognition and multidisciplinary management.
CASE PRESENTATION: We report a 7-year-old Arab male with VACTERL association presenting with back pain, fever, and gait difficulty. Laboratory studies showed leukocytosis (27 × 10⁹/L) and anemia (Hb 9 g/dL). MRI revealed multiloculated cystic lesions with thick walls and mixed fluid-gas content extending from T4 to L5, forming an extensive epidural abscess with paraspinal extension and vertebral erosions. The patient was treated with intravenous vancomycin, metronidazole, and imipenem, followed by surgical drainage and local vancomycin irrigation. Clinical condition improved markedly, and he was discharged after two months in good health.
CONCLUSION: This case highlights the diagnostic challenges of SEA in children with complex congenital anomalies and emphasizes the importance of early recognition and multidisciplinary management.